Deputy Director of Administration and Finance

Lemuel Shattuck Hospital is seeking a dedicated and strategic Deputy Director of Administration & Finance (A&F) to help lead and strengthen the hospital’s fiscal operations. As a key member of LSH’s leadership team, the Deputy Director of Administration & Finance (A&F) plays a central role in shaping, maintaining, and advancing all fiscal policies that support the hospital’s mission of providing compassionate, high ‑ quality, and affordable healthcare.

This position leads the development of LSH’s annual Maintenance Estimate and Spending Plan, ensuring the financial resources necessary for patients to achieve their highest level of physical, mental, and spiritual well ‑ being. Working closely with the CEO and the Public Health Hospital System (PHHS) Director of A&F, the Deputy Director oversees all fiscal operations—including budgeting, revenue and billing, payroll cap management, accounting, contract management, capital planning, financial reporting, auditing, internal controls, and inventory processes—while supervising both direct and indirect fiscal staff.

This role also collaborates extensively with senior clinical and l eaders across LSH and with Deputy Directors of A&F throughout the PHHS.

8-4pm Monday-Friday

• Serve as the primary leader for all LSH financial activity, supporting the CEO and PHHS Director of A&F in developing, monitoring, and managing the annual budget, maintenance budget, spending plan, mid ‑ year review, and responses to DPH fiscal inquiries.

• Provide timely financial reporting to LSH leadership—including payroll, overtime, and agency staffing data—and prepare responses to legislators and EOANF regarding budget issues and the financial impact of proposed legislation.

• Collaborate with senior leadership to develop and implement fiscal policies and procedures aligned with PHHS and DPH priorities, while reviewing capital spending requests, interagency service agreements, and recommending tools that streamline fiscal operations.

• Oversee all revenue ‑ related activities by participating in Billing, Billing Compliance, and Managed Care Contracting meetings; serve as liaison to the contracted Billing vendor; and coordinate with the Assistant Director of Managed Care Contracts on compliance and contracting matters.

• Lead, supervise, and develop all fiscal staff—directly and indirectly—by managing hiring, training, performance evaluations, communication tools, feedback mechanisms, and ensuring staff competency in fiscal systems (MMARS, Comm Buys, Meditech).

• Develop, maintain, and revise fiscal policies and internal control processes to ensure compliance with state laws, regulations, and best practices, and serve as LSH’s primary point of contact for all fiscal audits.

• Engage LSH leadership to gather feedback on fiscal needs, ensure fiscal staff participate in relevant committees and improvement initiatives, and provide ongoing recommendations and support to the PHHS Director of A&F.

• Strong knowledge of state budgetary and accounting procedures, including terminology, purchasing, revenue management, and expenditure processes, with in ‑ depth understanding of the Massachusetts state budget system.

• Experience with Massachusetts state finance software (e.g., MMARS), state and federal finance laws, and state procurement practices.

• Knowledge of program monitoring, fiscal auditing, compliance oversight, and investigative or complaint ‑ resolution procedures.

• Understanding of healthcare financing methods, financial analysis, operating systems, budgeting, regulations, and forecasting within a hospital or Massachusetts state government environment.

• Experience in systems change, quality improvement, and policy or systems development within finance.

• Strong interpersonal and communication skills, with the ability to engage diverse audiences and adapt to the evolving needs of a large hospital organization.

• Demonstrated leadership ability to build effective teams, motivate staff at all levels, and foster productive working relationships across departments, state agencies,…